Protocol Treatment of Non-Monosymptomatic Enuresis

Volume 7, Issue 3, June 2022     |     PP. 180-191      |     PDF (997 K)    |     Pub. Date: May 3, 2022
DOI: 10.54647/cm32821    79 Downloads     4683 Views  

Author(s)

Renata M. Campos, University of Campinas – UNICAMP. Campinas - SP, Brazil.
Adélia Correia Lúcio, HUMAP - UFMS. Campo Grande - MS, Brazil.
Osamu Ikari, University of Campinas – UNICAMP. Campinas - SP, Brazil.
Antônio Gugliotta, University of Campinas – UNICAMP. Campinas - SP, Brazil.
Maria Helena Baena de Moraes Lopes, University of Campinas – UNICAMP. Campinas - SP, Brazil.
Maria Carolina Ramos Perissionotto, University of Campinas – UNICAMP. Campinas - SP, Brazil.
Howard Glazer, New York Presbyterian Hospital. New York – NY, United States of America.
Carlos Arturo Levi D’ancona, University of Campinas – UNICAMP. Campinas - SP, Brazil.

Abstract
Background: The prevalence of Non-Monosymptomatic Enuresis occurs in 15 to 30% of children and conservative treatments should be the first line of indication.
Objective: This article presents the evaluation and treatment protocol of the Urology Outpatient Clinic/UROPEDFISIO, which has been shown to be adequate and useful for the care of children with non-monosymptomatic enuresis.
Results: The Urology Clinic/UROPEDFISIO protocol includes a form with a detailed anamnesis, with targeted questions, considering the symptoms of the lower urinary tract; description about eating and hygienic habits; a playful voiding diary; the pelvic floor rehabilitation program and information to parents, and also to their children, in a playful way.
Conclusion: The described protocol is simple, feasible and has shown promising results. It is hoped that with its dissemination, more health professionals will be able to use it and, thus, contribute to its improvement.

Keywords
pelvic exercises and rehabilitation of pelvic floor muscle, behavioral therapy, non-monosymptomatic enuresis

Cite this paper
Renata M. Campos, Adélia Correia Lúcio, Osamu Ikari, Antônio Gugliotta, Maria Helena Baena de Moraes Lopes, Maria Carolina Ramos Perissionotto, Howard Glazer, Carlos Arturo Levi D’ancona, Protocol Treatment of Non-Monosymptomatic Enuresis , SCIREA Journal of Clinical Medicine. Volume 7, Issue 3, June 2022 | PP. 180-191. 10.54647/cm32821

References

[ 1 ] Neveus T, Von Gontard A, Hoebeke P, Hjalmas K, Bauer S, Bower W et al. The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardization Committee of the International Children´s Continence Society. J Urol 2006; 176(1):314-24.
[ 2 ] Walle JV, Rittig S, Bauer S, Eggert P, Marschall Kehrel D,Tekgul S. Practical consensus guidelines for the management of enuresis. Eur J Pediatr 2012; 17(6):971-8
[ 3 ] Neveus T, Eggert P, Evans J, Macedo A, Rittig S, Tekgul S, et al. Evaluation and treatment for monosymptomatic enuresis: a standardization document from the International Children´s Continence Society. J Urol 2010; 183 (2):441-7.
[ 4 ] Ebiloglu T, Ergin G, Irkilata HC, Kibar Y. The biofeedback treatment for non monosymptomatic enuresis nocturna. Neurourol Urodyn 2016; 35(1):58-61.
[ 5 ] Austin PF, Coplen DE. Enuresis and dysfunctional elimination. Mo Med 2007; 104(5):421-4.
[ 6 ] Paiva MRSAQ. Enurese Noturna. Departamento de pediatria e puericultura da ISCMSP 2011. http://www.medicinanet.com.br
[ 7 ] Sijka SK, Piedmont MR, Grenfield SP. Enuresis and the voiding cystourethrogram: A re-evaluation. Urology 1991; 38(2):139-42.
[ 8 ] De Paepe H, Renson C, Hoebeke P, Raes A, Van Laecke, JV. The role of pelvic floor therapy in the treatment of lower urinary tract dysfunctions in children. Scand J Urol Nephrol 2002; 36(4):260-7.
[ 9 ] Campos RM, Gugliotta A, Ikari O, Perissinoto MC, Lúcio AC, Miyaoka R, D'Ancona CAL. Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence. Einstein 2013; 11(2):203-8.
[ 10 ] Rosier PFWM, Schaefer W, Goldman HB, Guralnick M, Dickinson T, Hashim H. International Continence Society Good Urodynamic Practices and Terms 2016: Urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn 2017; 36(5):1243-60.
[ 11 ] Austin PF, Bauer SB, Bower W, Chase J, Franco I, Hoebeke P, et al. The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the standardization committee of the International Children's Continence Society. Neurourol Urodyn 2015; 35(4):471-81.
[ 12 ] Fernandez-Pineda I, Pérez EM, Fernández HM, Barrero CR, García MF. Biofeedback and electrostimulation in the treatment of non monosymptomatic enuresis. Cirugía pediátrica: órgano oficial de la Sociedad Española de Cirugía Pediátrica 2008; 21(2):89-91.
[ 13 ] Yang S, Chua ME, Bauer S, Wright A, Brandstrom P, Hoebeke P, et al. Diagnosis and management of bladder bowel dysfunction in children with urinary tract infections: a position statement from the International Children’s Continence Society. Pediatr Nephrol, 2017.
[ 14 ] Van Engelenburg ML, Bols EMJ, Benninga MA, Verwijs W, Bluijssen NMWL, De Bie RA. The effect of pelvic physioterapy on reduction of functional contipation in children: design of a multicentre randomised controlled trial. BMC Pediatrics 2013; 13:112.
[ 15 ] Mulders MM, Cobussen-Boekhorst H., De Gier R.P.E., Feitz W.F.J., Kortmann B.B.M. Urotherapy in children: Quantitative measurements of daytime urinary incontinence before and after treatment. J Pediatr Urol 2011; 7(2):213-8.
[ 16 ] Zivkovic V, Lazovic M, Vlajkovic M, Slavkovic A, Dimitrijevic L, Stankovic I, Vacic N. Diaphragmatic breathing exercises and pelvic floor retraining in children with dysfunctional voiding. Eur J Phys Rehabil Med 2012; 48(3):413-21.
[ 17 ] Kollen BJ, Lennon S, Lyons B, Wheatley-Smith L, Scheper M, Buurke JH, et al. The effectiveness of the Bobath Concept in stroke rehabilitation. What is the evidence? Stroke 2009; 4(4):89-97.
[ 18 ] Hoebeke P, Renson C, De Schryver M, De Schrijver L, Leenaerts E, Schoenaers A, et al. Prospective evaluation of clinical voiding reeducation or voiding school for lower urinary tract conditions in children. J Pediatr Urol 2016;12(1):37.e1-6.
[ 19 ] Reilly M, Homsy Y. Treatment of child with daytime urinary incontinence. Pediatr PhysTher 2008; 20(2):185-93.